FORM 1023-EZ for MLK COMMUNITY ASSOCIATION

Field Data
EIN 46-5260376
Case Number EO-2015026-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MLK COMMUNITY ASSOCIATION
Organization’s Mailing Address PO BOX 622
City KENLY
State NC
ZIP 27542
Accounting period End 12
Primary contact name MONICA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MONICA DAVIS
PRESIDENT
PO BOX 188
KENLY NC 27542

Officer/Director/Trustee Two

MICHELLE DAWES
SECRETARY
102 WEST SECOND STREET
MICRO NC 27555

Officer/Director/Trustee Three

PATRICIA SHAW
TREASURER
LINCOLN DRIVE
KENLY NC 27542

Officer/Director/Trustee Four

MOSES ROBINSON
COMMITTEE MEMBER
300 BAILEY AVENUE
KENLY NC 27542

Officer/Director/Trustee Five

JOSIE CARR
COMMITTEE MEMBER
PO BOX 474
KENLY NC 27542

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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